14D0962111 CLIA NUMBER - WENDELL A WHEELER MD

Laboratory Demographics

CLIA Number: 14D0962111

Facility Name: WENDELL A WHEELER MD

Facility Address:
1052 W 111ST STREET
CHICAGO, IL
ZIP 60643
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Facility Phone Number: 773 779-7337

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1902808611

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	14D0962111
LAB Type	Physician Office
Facility Name	WENDELL A WHEELER MD
Street	1052 W 111ST STREET
City	CHICAGO
State	IL
ZIP	60643
Phone	773 779-7337
CertificateType	3
CertificateEffectiveDate	6/23/2023
CertificateExpirationDate	6/22/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024